| Big Springs Medical Association | |
|
405 Main Street Van Buren MO 63965-0486 | |
| (573) 323-4253 | |
| (573) 323-4465 |
| Full Name | Big Springs Medical Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 405 Main Street, Van Buren, Missouri |
| Authorized Official Name and Position | Karen White (CEO) |
| Authorized Official Contact | 5736632313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Springs Medical Association 110 S 2nd St Ellington MO 63638-9400 Ph: (573) 663-2313 | Big Springs Medical Association 405 Main Street Van Buren MO 63965-0486 Ph: (573) 323-4253 |
| NPI Number | 1225045321 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 11/30/2017 |
| Medicare PECOS PAC ID | 6709871007 |
|---|---|
| Medicare Enrollment ID | O20040416000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225045321 | NPI | - | NPPES |
| 500217427 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Michael P Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629014766 PECOS PAC ID: 8729984513 Enrollment ID: I20031211000554 |
| Provider Name | Christopher R Pinderski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689632283 PECOS PAC ID: 9830149400 Enrollment ID: I20050218000024 |
| Provider Name | John Mccormack |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477558054 PECOS PAC ID: 6305741455 Enrollment ID: I20050505000006 |
| Provider Name | Diane E Silman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346333044 PECOS PAC ID: 4789624818 Enrollment ID: I20050509000665 |
| Provider Name | Dennis Daniels |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265404222 PECOS PAC ID: 5991808628 Enrollment ID: I20070316000244 |
| Provider Name | Michael Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336302280 PECOS PAC ID: 7416852561 Enrollment ID: I20081003000474 |
| Provider Name | Richard R Hester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831280197 PECOS PAC ID: 0941354468 Enrollment ID: I20091022000319 |
| Provider Name | Farrah T Mcspadden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205053758 PECOS PAC ID: 8921146168 Enrollment ID: I20091110000112 |
| Provider Name | Harry Harness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992819627 PECOS PAC ID: 0244216265 Enrollment ID: I20100201000631 |
| Provider Name | Dorothy F Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548225824 PECOS PAC ID: 7911034913 Enrollment ID: I20100422001130 |
| Provider Name | Bijan Bastaninejad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972589968 PECOS PAC ID: 2961423264 Enrollment ID: I20100519000419 |
| Provider Name | Susan L Byerley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912962291 PECOS PAC ID: 0749319085 Enrollment ID: I20100526000090 |
| Provider Name | Becky A Watson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841285681 PECOS PAC ID: 4082792213 Enrollment ID: I20100810000783 |
| Provider Name | Judith A Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356368989 PECOS PAC ID: 2365576733 Enrollment ID: I20100820000419 |
| Provider Name | Meyyappan Palaniappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508925553 PECOS PAC ID: 7719002948 Enrollment ID: I20100913000131 |
| Provider Name | Amy Dunbar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891866364 PECOS PAC ID: 1355467655 Enrollment ID: I20100923001114 |
| Provider Name | Jody Beth Spain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427364744 PECOS PAC ID: 3678766466 Enrollment ID: I20101025001350 |
| Provider Name | Ramiro Icaza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457463960 PECOS PAC ID: 1052505740 Enrollment ID: I20101026001419 |
| Provider Name | Michael P Toney |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407880099 PECOS PAC ID: 9537173422 Enrollment ID: I20101119001190 |
| Provider Name | Marsha D Shivley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083705487 PECOS PAC ID: 0648459966 Enrollment ID: I20110119000464 |
| Provider Name | Susan Marie Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366749764 PECOS PAC ID: 3870776107 Enrollment ID: I20110324000387 |
| Provider Name | Amber W Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265712780 PECOS PAC ID: 2567633571 Enrollment ID: I20110923000371 |
| Provider Name | Jo A Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568754851 PECOS PAC ID: 4688844418 Enrollment ID: I20111109000251 |
| Provider Name | Adam Kakar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700048618 PECOS PAC ID: 7517957681 Enrollment ID: I20111209000072 |
| Provider Name | Robin Christina Harwell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437426194 PECOS PAC ID: 2668649476 Enrollment ID: I20120119000372 |
| Provider Name | Sonya D Diciro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427005792 PECOS PAC ID: 4587831201 Enrollment ID: I20120120000735 |
| Provider Name | Mary E Jarrells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093085458 PECOS PAC ID: 3274790282 Enrollment ID: I20120202000606 |
| Provider Name | Dianna L Keeling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609115237 PECOS PAC ID: 8022254119 Enrollment ID: I20130416000255 |
| Provider Name | Shana Winchester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750702916 PECOS PAC ID: 0547491573 Enrollment ID: I20140314001831 |
| Provider Name | Joseph Toney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649587031 PECOS PAC ID: 6204090301 Enrollment ID: I20150122000446 |
| Provider Name | Ashley Oldham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669858429 PECOS PAC ID: 9537476999 Enrollment ID: I20150916003440 |
| Provider Name | Melissa Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558726034 PECOS PAC ID: 2163727231 Enrollment ID: I20160226002013 |
| Provider Name | Bradford J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184002842 PECOS PAC ID: 0446332316 Enrollment ID: I20160303002532 |
| Provider Name | Valerie Anne Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366647224 PECOS PAC ID: 3870880313 Enrollment ID: I20160927000711 |
| Provider Name | Ashley Arleen Starnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588113435 PECOS PAC ID: 9436447869 Enrollment ID: I20161018000395 |
| Provider Name | Jamie Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710420088 PECOS PAC ID: 5496037004 Enrollment ID: I20170116000204 |
| Provider Name | Amy Lee Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366996886 PECOS PAC ID: 9931481702 Enrollment ID: I20170131002448 |
| Provider Name | Angela Wheelehon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649692187 PECOS PAC ID: 5698050136 Enrollment ID: I20170323000716 |
| Provider Name | Leanne Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124566104 PECOS PAC ID: 6103102876 Enrollment ID: I20170412000126 |
| Provider Name | Christy L Walter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801859160 PECOS PAC ID: 2062479504 Enrollment ID: I20170615000352 |
| Provider Name | Michelle L Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063944932 PECOS PAC ID: 5496028482 Enrollment ID: I20170913004017 |
| Provider Name | Wendy Y Raney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932625266 PECOS PAC ID: 3476828443 Enrollment ID: I20171002003433 |
| Provider Name | Brigitte Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407352594 PECOS PAC ID: 8325302912 Enrollment ID: I20180508000169 |
| Provider Name | Josh D Gast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437404761 PECOS PAC ID: 9234454257 Enrollment ID: I20180524000264 |
| Provider Name | Kathreen Kelli Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508005562 PECOS PAC ID: 3870830474 Enrollment ID: I20190118002887 |
| Provider Name | Terra Renee Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205318490 PECOS PAC ID: 7810238615 Enrollment ID: I20190404000240 |
| Provider Name | Amanda S Graser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942868542 PECOS PAC ID: 2567797020 Enrollment ID: I20190706000106 |
| Provider Name | Amy O Puderbaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174878409 PECOS PAC ID: 9931420551 Enrollment ID: I20190722001455 |
| Provider Name | Cynthia Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972576353 PECOS PAC ID: 0446274906 Enrollment ID: I20190910001356 |
| Provider Name | Loretta Baker-montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023210911 PECOS PAC ID: 3072737063 Enrollment ID: I20190926000775 |
| Provider Name | Kimberlee P Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326248394 PECOS PAC ID: 2466540315 Enrollment ID: I20200213003014 |
| Provider Name | Chasidy Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992324370 PECOS PAC ID: 4385069624 Enrollment ID: I20200804002801 |
| Provider Name | Vickey Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114468923 PECOS PAC ID: 8628345477 Enrollment ID: I20201016002436 |
| Provider Name | Katelyn Brooke Cleous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386230449 PECOS PAC ID: 1153733084 Enrollment ID: I20201216002863 |
| Provider Name | Jaime Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992395008 PECOS PAC ID: 4587070032 Enrollment ID: I20210308001019 |
| Provider Name | Vanessa Givens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205892437 PECOS PAC ID: 8325211329 Enrollment ID: I20210621000862 |
| Provider Name | Holly Maria Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841899614 PECOS PAC ID: 4385046077 Enrollment ID: I20210719001199 |
| Provider Name | Tonya Mischell Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811661861 PECOS PAC ID: 2365831674 Enrollment ID: I20211108000955 |
| Provider Name | Natalie J Hoshaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700842192 PECOS PAC ID: 9335160225 Enrollment ID: I20220316001210 |
| Provider Name | Clara Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407929516 PECOS PAC ID: 3072653989 Enrollment ID: I20220316001411 |
| Provider Name | Kimberly E Slayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619444627 PECOS PAC ID: 0840623930 Enrollment ID: I20220628001620 |
| Provider Name | Miranda Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932830619 PECOS PAC ID: 2466832837 Enrollment ID: I20220630002942 |
| Provider Name | Shantel B Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174261044 PECOS PAC ID: 8224418074 Enrollment ID: I20220711001580 |
| Provider Name | Ian Pelletier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316501000 PECOS PAC ID: 6103154372 Enrollment ID: I20220718001571 |
| Provider Name | Jennifer Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811620370 PECOS PAC ID: 3678954799 Enrollment ID: I20220721000801 |
| Provider Name | Kelsey Damico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972236768 PECOS PAC ID: 3173905833 Enrollment ID: I20220728001050 |
| Provider Name | Holly M Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255062121 PECOS PAC ID: 5294117826 Enrollment ID: I20220729000321 |
| Provider Name | Jennetta Sue Stearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356061121 PECOS PAC ID: 5395112171 Enrollment ID: I20221108001286 |
| Provider Name | Angela J Calcaterra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811906167 PECOS PAC ID: 6002286150 Enrollment ID: I20230105001833 |
| Provider Name | Corinne Durner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104539162 PECOS PAC ID: 3577928357 Enrollment ID: I20230501000560 |
| Provider Name | Stacy Leann Fiske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760164412 PECOS PAC ID: 7719331750 Enrollment ID: I20230926001170 |
| Provider Name | Randi Stechschulte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467236265 PECOS PAC ID: 7911354709 Enrollment ID: I20231116001068 |
| Provider Name | Christine R Vogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124461140 PECOS PAC ID: 6204128093 Enrollment ID: I20240127000132 |
| Provider Name | Carl Raye Harbison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174098115 PECOS PAC ID: 7315380383 Enrollment ID: I20240206004221 |
| Provider Name | Carol Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376561415 PECOS PAC ID: 0244272722 Enrollment ID: I20240318002375 |
| Provider Name | Jared Michael Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497344279 PECOS PAC ID: 1850709858 Enrollment ID: I20240418003778 |
| Provider Name | Kassidy Frillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366287021 PECOS PAC ID: 6002351624 Enrollment ID: I20240708003070 |
| Provider Name | Tristan Ross Peregrino Fowler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881044006 PECOS PAC ID: 6305268830 Enrollment ID: I20240717002776 |
| Provider Name | Stacy Jeanette Bentsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710589866 PECOS PAC ID: 1557367265 Enrollment ID: I20240830002888 |
| Provider Name | Sushmita Thota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003490426 PECOS PAC ID: 3072913300 Enrollment ID: I20241023004536 |
| Provider Name | Cindy Okolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558806224 PECOS PAC ID: 7911266523 Enrollment ID: I20250205001495 |
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